Burt C G, Little J A, Mosquera D A
Department of Vascular Surgery, Birmingham Heartlands Hospital - United Kingdom.
J Vasc Access. 2001 Jul-Sep;2(3):110-3. doi: 10.1177/112972980100200305.
Inferior patency rates for radiocephalic fistulae in the elderly have been reported and may explain the increasing use of prosthetic grafts for vascular access. The aim of this study was to assess whether the patency rates of primary radiocephalic fistulae are affected by age.
A retrospective casenote review of 53 consecutive patients undergoing primary fistula formation between 1995 and 1998 under the care of a single consultant vascular surgeon. The setting was a specialist vascular surgical unit where the protocol is to offer all new patients a radiocephalic fistula. Fistula patency was defined as successful use for dialysis.
Cumulative patency rates at 2 years were 60% in patients over 60 years (n=27), and 53% in patients under 60 years (n=26). The higher patency rates in the older age group were not significant on log rank testing (p=0.39).
Age over 60 years did not influence patency rates of primary radiocephalic fistulae, which should remain the haemodialysis access procedure of choice at all ages.
据报道，老年患者头静脉桡动脉内瘘的通畅率较低，这可能解释了人工血管用于血管通路的使用增加的原因。本研究的目的是评估原发性头静脉桡动脉内瘘的通畅率是否受年龄影响。
对1995年至1998年间在一位血管外科顾问医生照料下连续接受原发性内瘘形成手术的53例患者进行回顾性病例记录审查。研究地点是一个专业血管外科病房，其方案是为所有新患者提供头静脉桡动脉内瘘。内瘘通畅定义为成功用于透析。
60岁以上患者（n = 27）2年的累积通畅率为60%，60岁以下患者（n = 26）为53%。老年组较高的通畅率在对数秩检验中无显著差异（p = 0.39）。
60岁以上的年龄并未影响原发性头静脉桡动脉内瘘的通畅率，原发性头静脉桡动脉内瘘应仍是各年龄段血液透析通路的首选方法。
